Remote Physician ED Claims Reviewer (UM & Coding)
Vytwo
- Remote job
Vytwo seeks a Physician ED Claims Reviewer for a 12-month remote assignment. The clinician will conduct clinical review of claims and UM authorization requests to determine clinical necessity, leveraging CPT/HCPCS coding and managed care expertise. Ideal candidates hold an active US medical license with 3–5 years of emergency department medicine experience or equivalent internal medicine background, and possess strong knowledge of claims processing and medical coding. #J-18808-Ljbffr Vytwo
- Vytwo Technologies Inc. seeks a Physician ED Claims Reviewer for a 12-month remote assignment. The role focuses on clinical... ...and utilization management (UM) authorization requests to determine... ...and have experience with CPT/HCPCS coding, managed care, and using multiple...Remote jobClaims
- ...Role: Physician ED Claims Reviewer Duration: 12 months Required skills: Physician... ...experience in with medical coding (CPT/HCPCS) and managed care... ...clinical review of claims and UM authorization requests for clinical... ...in a fast paced environment. This is a remote position....Remote workClaims
- ...experienced DRG Clinical Physician Reviewer to join our growing... ...team. This is a fully remote opportunity for a... ...improved documentation, coding accuracy, and cost containment... ...review experience (UM, DRG Validation, or... ...Validation, CDI, or claims review strongly preferred...Remote workClaims
- ...are currently looking for a Physician Reviewer to join our growing team on a... ...reviewer role at tango - providing UM case reviews, peer to peer... ...support. Office Location Remote - flexible hours Essential Functions... ..., and retroactive and claims reviews of medical home health...Remote jobClaimsFull timeWork at officeLocal areaWork from homeFlexible hours
$285.23k - $332.26k
...Mso Physician Reviewer Burlingame, CA 94010 Overview Salary Range $2... ...collaborates with healthcare providers, UM team members, and case... ...process by reviewing denied claims and reconsidering medical... ...stratification and appropriate coding and documentation based on patient...ClaimsFull time- ...Medical Director for review. Refer to and work closely... ...with the treating physician or other providers of... ...for pricing, coding, researching claims to ensure accurate application... ...multiple areas (i.e. UM and CM). Incumbent is... ...The opportunity for remote work may be possible...Remote workClaimsContract workWork at office
- A recognized healthcare provider is seeking a Board Certified Orthopaedic Spine Surgeon to conduct utilization reviews. This telework position allows for a flexible schedule within a standard Monday - Friday work week. Responsibilities include reviewing medical records,...Remote jobClaimsFor contractorsMonday to FridayFlexible hours
$85k - $90k
...DRG Reviewer At MedReview, our mission is to bring accuracy... ...conducts reviews of inpatient claims to ensure coding accuracy and appropriate... ...diagnoses. This is a fully remote position. Candidates must be... ...guides. Collaborates with physician reviewers, as needed....Remote workClaims$19.81 - $28.3 per hour
...General Brigham Healthcare Billing And Claims Reviewer Mass General Brigham relies on a wide... ...compliance with regulatory requirements, coding guidelines, and payer policies. Verify... ...workstation is required for this remote position. Remote Type: Remote Work...Remote workClaimsHourly payShift work- ...Summary The DRG Validator/Reviewer is responsible for reviewing post-billed inpatient claims to identify and validate missed... ...based on diagnosis and procedure coding. Working within a specialized... ...role is primarily office-based or remote, depending on company policy,...Remote workClaimsFull time
$248.5k - $373k
...together. As part of the Focus Claims Review team at Optum, the Medical... ...as a liaison between Optum, physicians, and other medical service... ...hours per week. This can be remote work from home anywhere in... ...professional claims for correct coding using clinical record...Remote jobClaimsMinimum wagePart timeWork experience placementLocal areaWork from home- Summary Performs medical reviews using clinical/medical... ...provided by physicians/providers and established... ...and review of medical claims and utilization practices... ...environment. This role is remote position for South Carolina... ...and/or abuse, correct coding for claims/operations....Remote workClaimsFull timeFor contractorsWork experience placementWork at officeLocal areaMonday to Friday
$79.56k - $115.72k
...Brigham Health Plan Supervisor, Medicaid Claims Review Mass General Brigham Health Plan is... ...Certified Professional Coder (CPC), Certified Coding Specialist (CCS), or comparable... ...Eastern Time This position is eligible for remote work from approved U.S. locations,...Remote workClaimsFull timeWork at officeMonday to FridayFlexible hoursShift work- Trinity Health is seeking a Physician Coding Specialist II in Columbus, Ohio. This position involves assigning surgical and office procedural... ...codes to patient health information for data retrieval and claims processing. The ideal candidate will possess a high school diploma...Remote jobClaimsWork at office
$23.52 - $34.28 per hour
...Medical Coding Specialist Reviews medical record documentation, extracts data,... ...for complex multi-specialty physician group. Coding responsibilities... ...Responsible for reviewing claims and correcting Claims... ...hr Other Information Remote role (based out of Greenville...Remote workClaimsHourly payFull timeMonday to FridayDay shift- ...Job Title: Remote Physician Pro Fee Coder-Cardiology Job Summary: The... ...Cardiology is responsible for reviewing, analyzing, and assigning... ...accurate CPT, HCPCS, and ICD-10 codes for professional fee... ...education. Works coding-related claim edits, holds, and scrubs in...Remote jobClaimsLocal area
- ...PRN Physician Coding Specialist II, Orthopedic Clinic - Sheffield Village... ...timely payments of outstanding claims. What You Will Do:... ...departmental guidelines. Reviews and corrects coding edits and... ...Entry Level Travel: No Remote Work: Hybrid Job Posting:...Remote workClaimsDaily paidWork experience placementRelief
- ...the Mission and Guiding Behaviors; the Physician Coding Specialist II will assign the appropriate... ...for data retrieval, analysis and claims processing for the Mount Carmel Medical... ...interdisciplinary care delivery system. Reviews and evaluates patient medical records to...Remote jobClaimsFull timeWork experience placementWork at officeLocal area
- ...expertise as a Certified Physician Coder will make a... ...care through accurate coding practices. You will play... ...responsibility will be to review and analyze medical documentation... ...become eligible for remote work, providing... ...necessary for effective claims processing.Experience...Remote workClaimsFull timeMonday to FridayFlexible hours
$17.89 - $26.35 per hour
...insurance records, and claims, contacting insurance companies... ...various payers for physician services. Primary... ...physician charges. Reviews patient accounts to verify... .... Primarily remote with the exception of coming... ...HIPAA), ICD-10 Procedure Coding System, Insurance...Remote workClaimsHourly payWork experience placementWork at office$33.79 - $49 per hour
...Specialty Physician Coder, OBGYN Location: Fountain Valley/Predominantly Remote Department: Document Improvement... ...the direction of the Coding Compliance Supervisor... ...plays a key role in reviewing and analyzing... ...workflow for working claim denials in the Follow...Remote workClaimsFull timeWork at officeShift work- ...Neurosurgeon, Neurologist, and Physical Medicine & Rehabilitation physician to process utilization reviews. Work's Compensation experience is preferred but not... ...clinical expertise, and reviews workers' compensation claims by providing an interpretation of the medical...Remote workClaimsFor contractorsMonday to Friday
- ...Vitruvian Health Coding Specialist At Vitruvian Health, we... ...supervision, the associate remotely reviews medical records and assigns/... ...demonstrate the ability to work with physicians and other healthcare... ...ensures timely charge review and claim creation, and maintains...Remote workClaimsFull timeTemporary workWork at officeFlexible hours
- ...Job Description Job Description Physician Peer Reviewer – Multiple Specialties in Texas and/or New... ...MEXICO to assist with independent review claims and appeals in any of the following... ...past 3 years, if performing external reviews Job Type Contract Work Location Remote...Remote workClaimsContract workWork experience placementWork at office
$204.76k - $292.52k
...Physician Reviewer We're unique. You should be, too. We're changing lives every day. For both our patients and our team members. Are you... ...is the primary physician reviewer for Utilization Management (UM) cases in our organization. Other duties include advising other...Remote workHourly payFull timeWork at officeLocal area$90k - $110k
...DRG Reviewer (Onsite - Hendersonville, TN) Machinify is a leading... ...review criteria to target key claims for review and recovery. The... ...medical records using clinical and coding guideline knowledge along... ...Experience working remotely Working knowledge of Windows...Remote workClaimsWork experience placementLive inWork at office$125k - $210k
...Impact Advisors is seeking an experienced Physician Enterprise Healthcare Consultant with... ...-service collections, charge capture, coding, claims submission, payment posting, denial management... .... Work Schedule Full‑time, exempt, and remote‑friendly when not traveling, with...Remote workClaimsFull time$174.07k - $374.92k
...Full-Time Utilization Management Physician Reviewer We're building a world of health around every... ...Company: Oak Street Health Location: Remote/ Treehouse Role Description: This... ...services by applying utilization management (UM) criteria, clinical judgment, and...Remote workHourly payFull time- ...Summary The DRG Validator/Reviewer is responsible for reviewing post-billed inpatient claims to identify and validate missed... ...based on diagnosis and procedure coding. Working within a specialized... ...role is primarily office-based or remote, depending on company policy,...Remote workClaimsFull time
- ...Remote Hialeah, FL Miami, FL Full time R... ...staff position, please review this tip sheet ( . The... ...key resource for CDI/Coding/Quality. The CDI Second... ...measuring and reporting physician and hospital outcomes.2... ...welcome.miami.edu/about-um to learn more about our...Remote workFull timeTemporary workWork at officeWorldwide
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